Cost-share chart Enrollmentnumbers varied depending on age groups, with enrollment in HDHPsthat have HSAs higher among those aged 30–44. (Image:Shutterstock)

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Workers with access to health care coverage through theiremployer are increasingly enrolling in high-deductible health plans, both with andwithout health savings accounts, as enrollment intraditional health plans has fallen.

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So says a report from the Centers for Disease Control, based ondata from the National Health Interview Survey. The report findsthat, for adults aged 18–64 with employment-based coverage, HDHPs with HSAs sawa boost in enrollment from 4.2 percent to 18.9 percent from 2007through 2017, while over the same period, HDHPs that lacked HSAsrose from 10.6 percent to 24.5 percent.

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Related: Employers having second thoughts onHDHPs

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Enrollment numbers varied depending on age groups, withenrollment in HDHPs that have HSAs higher among those aged 30–44(21.0 percent) than among those aged 18–29 (16.8 percent) and 45–64(18.4 percent). However, the study noted no differences by age forenrollment in HDHPs without an HSA or in traditional plans.

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In addition, higher family incomes and higher levels ofeducation changed the equation, with both higher incomes and highereducation levels corresponding with higher enrollment levels inHDHPs with HSAs, and lower enrollment levels in both HDHPs lackingHSAs and traditional plans.

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In 2017, enrollment in traditional plans dropped as familyincome rose, from 59.9 percent among those with incomes of 138percent of the federal poverty level or less to 55.5 percent amongthose with incomes greater than 400 percent of the FPL.

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Enrollment in HDHPs without HSAs dropped from 32.2 percent amongthose with incomes of 138 percent of the FPL or less to 22.6percent among those with incomes greater than 400 percent of theFPL, while enrollment in HDHPs with HSAs rose from 7.9 percentamong those with incomes of 138 percent of the FPL or less to 22.0percent among those with incomes higher than 400 percent of theFPL.

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